Dr. Corey Ryan
Multiple Locations

$3.75M

in Revenue on $273K Ad Spend

HEAR IT DIRECTLY

Dr. Roncaglione on Building a Full-Arch Engine in Columbia, SC

The lead quality that you guys give us is, I would say, significantly above market average

Dr. Louis Roncaglione

Dr. Louis Roncaglione — Elmtree Family Dental — Columbia, SC — GP Office

Revenue Generated

$1.42M

Engagement

18 Mo

Total Ad Spend

$139K

Industry avg: 3-5x

ROAs

10.27x

THE CHALLENGE

A GP practice in a competitive Southeast market. Now doing $1.42M in full-arch revenue with The Implant Engine.

Dr. Louis Roncaglione is a general dentist running two practices in the Southeast — Elmtree Family Dental in Columbia, SC and a second location in Charlotte, NC. He built his practice around dental implants and digital dentistry, investing in technology that most GPs avoid and training specifically to do full-arch cases at volume. When he came to The Implant Engine, he had the clinical infrastructure. He needed the patient pipeline to match it.

He had looked at other agencies. Most of them promised results they couldn’t back up. He chose TIE for a different reason: honesty about what was actually deliverable.

You were just very straight up with, like, this is what I can do, this is what I can’t. These are some of the things you might see from the other firms — I can tell you that’s really hard to deliver on.

— Dr. Louis Roncaglione

On top of making the right agency choice, Dr. Roncaglione had to solve an operational problem: his front office couldn’t handle the incoming lead volume on top of their normal patient load. And like most GPs stepping into full-arch, he had to build the case-conversion infrastructure from scratch — eventually having his treatment coordinator run all consults independently while he reviewed scans remotely.

Some of the people that I know who asked me about it — when I tell them what I did and what I do and working with you guys — they’re like, there’s no way that works.

— Dr. Louis Roncaglione

Before-State Pills:

Shopping agencies — most couldn't deliver on their promises

Two-practice GP — needed systems that ran without his constant involvement

Front office not built to handle full-arch lead volume

High-competition Southeast market — had to stand apart from DSO competitors

THE SYSTEM WE BUILT

How We Built Dr. Roncaglione's Full-Arch Growth System

Every element was designed around the core challenge: build a consistent, scalable full-arch pipeline for a two-practice GP who needed the system to run largely without him.

TREATMENT SETTERS™

1: Ads Built for the Columbia Market

TIE built Meta and Google campaigns custom to the Columbia, SC market — authority-positioning creative that reached patients from single-unit needs to full-arch, prioritizing the highest-value cases. Dr. Roncaglione’s location and competitive position worked in his favor: he had less DSO competition than the average market, and TIE’s creative helped him stand apart from the corporate implant chains.

The creative consistently outperformed DSO competitors running generic copy. Patients who found TIE ads and then researched Dr. Roncaglione converted at a higher rate because the creative built legitimate authority before they ever called.

“Because of my location and the fact that I don’t have a lot of competition — and the competition that I do have is not as capable as I am — I think that’s really helping set me apart in a way.”

— Dr. Louis Roncaglione

Step Result: 358 — Total consults booked in 18 months

Treatment Setters™

2: Treatment Setters™ — A Call Center That Ran the Pipeline

Dr. Roncaglione needed his front office to stay focused on his existing patient base across both locations. TIE’s Treatment Setters™ handled all inbound lead flow — qualifying patients, booking consults, and keeping the pipeline moving without pulling his team off their core responsibilities.

He went further: he noted that a call center being on-site — not outsourced overseas — was a non-negotiable for him. The ability for TIE leadership to walk through the door and fix a problem in real time was the kind of concierge accountability no competitor could offer.

“They have an on-site call center. The other people that I talked to — they didn’t have on-site call centers, but you’re pulling your hair out trying to deal with your own staff members calling patients. These people do this for a living. We do surgery for a living. Let them do their job for a living and we’ll do ours.”

— Dr. Louis Roncaglione

Step Result: ~20/mo — Avg. consults per month over 18 months

Treatment Setters™

3: A TC Who Closes Without the Doctor in the Room

One of the most significant operational shifts Dr. Roncaglione made over the 16-month engagement: he stopped doing consults himself. His treatment coordinator, DJ, handles all patient conversations. Dr. Roncaglione reviews scans remotely — briefly, between procedures — and says yes or no on candidacy. DJ closes the case.

This is how elite full-arch practices scale. The doctor becomes the surgeon, not the salesperson. TIE’s system — from lead qualification through Treatment Setters™ to TC training — makes this handoff work.

“Three months ago, I stopped doing consults. I don’t even see my patients. DJ does all the talking. I’ll look at the CT scan briefly remotely, while I’m doing another procedure, and say, yes, this patient’s a candidate anatomically or no, they’re not. And she goes from there.”

— Dr. Louis Roncaglioneoller

Step Result: 10.27x — Verified ROAs over 18 months

TIE Full Marketing

4: Consistent Delivery — Month After Month

Dr. Roncaglione had watched colleagues burned by agencies with flashy promises and inconsistent results. He was watching for the same thing. What he found instead was a system that delivered every month — with no bad months across the entire engagement.

He actively refers other doctors to TIE because of that consistency — not because TIE asked him to. He recommends TIE to colleagues at conferences, at his country club, and in the full-arch training community.

“I’ve never had a bad month with Implant Engine. You know, I’m paying for peace of mind. I’m paying for consistency and peace of mind. The same thing that everybody else wants.”

— Dr. Louis Roncaglione

Step Result: $1.42M — Revenue Generated in 18 months

THE RESULTS

$1.42M Collected. 358 Consults Booked. And He's Already Planning His Next Office.

$1.42M

on $139K ad spend

REVENUE GENERATED

10.27x

verified ROAs

ROAs

18 Mo.

consistent — still growing

ENGAGEMENT LENGTH

Before TIE

Consult Volume

Organic only — limited flow

Lead Handling

Front office pulled off core duties

Doctor's Role in Consults

Doctor ran all consults

Revenue (16 months)

Minimal paid full-arch revenue

ROAs

N/A — no paid advertising

Monthly Consistency

Unpredictable

After TIE

Consult Volume

~20 consults/month avg (358 over 18 months

Lead Handling

Treatment Setters™ managing full pipeline

Doctor ran all consults

TC closes cases — doctor reviews scans remotely

Revenue (18 months)

$1.42M — with plans to scale to second location

ROAs

10.27x verified

Monthly Consistency

No bad months across entire engagement

$1.42M in full-arch revenue on $139K total ad spend — a 10.27x return. A two-practice GP running a high-volume full-arch system across a competitive Southeast market, with 358 consults booked over 18 months and no losing months. Dr. Roncaglione used TIE Full Marketing (Meta + Google) paired with Treatment Setters™ handling all inbound lead flow. His treatment coordinator now closes cases without him in the room. He's already planning a second dedicated full-arch location with a partner — and intends to scale ad spend significantly as that office opens.

Implant Engine has routinely delivered. Routinely performed. Routinely delivered on the expectations. And the whole trajectory of my practice is changing

Dr. Louis Roncaglione

Elmtree Family Dental — Columbia, SC — GP Office — 18-month engagement (Attribution)

Dr. Roncaglione's Advice for Doctors on the Fence

He’s referred multiple colleagues to TIE. Here’s exactly what he tells them.

On comparing TIE to other agencies:

You could spend nine or ten thousand with Implant Engine and get half the headaches and double the results. And if you get double the results, it won’t matter that you’re spending an extra two or three thousand. If the return’s there.

On the call center advantage over competitors:

The competitors that may have a call center — you don’t know where that is. It could be in Mexico or it could be in India. But when they have a call center on-site, and something’s going wrong, Chelsea or someone else can walk through the door. That is a level of concierge service that nobody else is offering.

On recommending TIE to other doctors:

This is the company I use. This is why I use it. And here’s the benefit compared to the competitors. I’ve never had a bad month with Implant Engine.

— Dr. Louis Roncaglion

THE FULL-ARCH GROWTH ENGINE

The System Behind Dr. Roncaglione's Results

Every TIE engagement is built from five integrated services. Dr. Roncaglione used two of them — and generated $1.12M in revenue from a GP practice in Columbia, SC. Here’s the full engine

Full-Arch Lead Generation

Meta + Google campaigns custom-built for your market. Authority-positioning creative that attracts serious full-arch patients — even in rural markets.

10.27x

ROAs for Dr. Roncaglione

Treatment Setters™ (USED)

On-site dental-trained call center handles all inbound leads — so your front office stays focused on existing patients while the pipeline keeps building. No outsourced call centers

$1.42M

Revenue in 18 months

Full Arch Academy™

TC sales training to close 35–45% of full-arch consults. Structured process for presenting $50K cases.

35-45%

AVG. CLOSE RATE

Implant Elevate ™

Custom video production featuring your doctors and real patient stories. A year of ad content from two shoot days.

60+

VIDEO CUTS PER SHOOT

Revenue Dashboard

Real-time visibility into ad spend, calls, consults, arches closed, and revenue.  No vanity metrics.

Real-time

FULL PIPELINE VISIBILITY

YOUR NEXT STEP

Your Market May Already Be Taken

We work with only one practice per market. You just saw what a fully built system does for a practice like yours. Check if your area is still available.

Full Name

Last Name

Work Email

Phone Number

Practice Name

Practice Type

Monthly Arch Volume

No commitment required. We’ll respond within one business day.

Free Resource

Download The Full Arch Growth Formula

The same framework that generated $70M+ in full-arch revenue for our practices — in a free guide.

The exact 4-system architecture TIE installs in every practice
How to pre-vet leads for credit, income, and readiness before they hit your schedule
Why the $50 deposit is the highest-leverage change most practices can make today
The TC training framework that drives 30–40% close rates from consults

No spam. Just the playbook. You can unsubscribe anytime.

Right column: Book image — The Full Arch Growth Formula guide cover